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Reimbursement Policy ManualPolicy #:RPM062Policy Title:Modifier 63 Procedure Performed on Infants Less Than 4 kgSection:ModifiersSubsection:NoneScope: This policy applies to the following Medical
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How to fill out modifier 63 - procedure
How to fill out modifier 63 - procedure
01
Begin by entering the appropriate surgical procedure code.
02
Include the modifier 63 in the appropriate field on the claim form.
03
Ensure that the documentation supports the need for the modifier.
04
Submit the claim with the modifier 63 for proper reimbursement.
Who needs modifier 63 - procedure?
01
Modifier 63 - procedure is needed by surgeons or physicians performing surgeries on infants or children under the age of 2 years old to indicate that the procedure was performed on a patient younger than the usual age limit.
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What is modifier 63 - procedure?
Modifier 63 is used to indicate that a procedure performed on a neonate (under 28 days old) was done on a different day than the initial service.
Who is required to file modifier 63 - procedure?
Healthcare providers who perform procedures on neonates and need to report that these procedures were performed on a different day than the initial service are required to file modifier 63.
How to fill out modifier 63 - procedure?
To fill out modifier 63, it should be appended to the appropriate CPT code for the procedure performed on a neonate to indicate the specific circumstances under which the service was provided.
What is the purpose of modifier 63 - procedure?
The purpose of modifier 63 is to provide information that a procedure was performed on a neonate different from the initial service date, which is essential for accurate billing and reimbursement.
What information must be reported on modifier 63 - procedure?
When using modifier 63, the provider must report the specific date of the procedure and ensure that the CPT code accurately reflects the service provided to the neonate.
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